Lakeisha Cerese Burgess
Individual provider Active NPI Case Manager/Care Coordinator · North Charleston, SC
NPI 1962021352 · NPPES record last updated Apr 15, 2020
Key facts
- NPI
- 1962021352
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 3618 Ashley Phosphate Rd
North Charleston, SC 29418-8585 - Phone
- (843) 459-2619
- Fax
- (843) 459-2769
- NPI assigned
- Apr 15, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
3618 Ashley Phosphate Rd
North Charleston, SC 29418-8585
Mailing address
3618 Ashley Phosphate Rd
North Charleston, SC 29418-8585
Phone (843) 459-2619
Other providers in North Charleston, SC
- Mary Catherine Buntin
- Ashley Burbage
- Mark Thomas Burbridge
- Cale Burch
- Erika Burgess
- Mark Anthony Burgess
- Stephanie Burgess
- Arielle Burkett
- Sarah Joanna Burkhart
- Ashley Lauren Burleson
All providers in North Charleston, SC · Case Manager/Care Coordinator in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 15, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.